New Client Information and Questionnaire

Student Name:*
Student Pronouns:*
Student Mailing Address*
Student Email:*
Student Date of Birth (enter as mm/dd/yyyy):*
Student (or parent) Skype/Zoom/FaceTime Username:
Student Mobile Number:*
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Current School Name:*
Graduation Year:*
Current School City:*
Current School State:*
Name of High School/College Guidance Counselor:*
High School/College Guidance Counselor Email:*
Parent/Guardian #1 Name:*
Parent/Guardian #1 Mailing Address*
Parent/Guardian #1 Preferred Phone Number:*
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Parent/Guardian Email:*
Parent/Guardian #2 Name:
Parent/Guardian #2 Address
Parent/Guardian #2 Preferred Phone Number:
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Parent/Guardian #2 Email:
Please list any private teachers you currently work with. Include contact information and what you study with them.*
Please describe your training, including the number of years you have been studying your art form.*
What possible majors/minors are you considering?*
Imagine your ideal college. What qualities would it have? Be specific and take some time to think about this.*
In the likelihood that you will not be able to find all of these qualities in one university, which one or two would be most important to you?*
Have you visited any colleges? If so, which ones, and what did you think?*
What specific schools are you already interested in applying to and why?*
Please list the dates of all PSAT, SAT, SAT II, and/or ACT tests you have taken or plan to take. Be sure to also include the score you received.*
Have you attended any summer programs? Please list each and the dates attended.*
Which parts of the college admissions process are you most excited about? Unsure about? What aspects do you feel you need the most help with?*


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